Active NPI
John G Wetzel, PTA, LMT
- Physical Therapy Assistant
- Willoughby, OH
National Provider Identifier
1457208647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 05651
- Practice address
- 36060 Euclid Ave Ste 105
Willoughby, OH 44094-4661 - Phone
- (440) 953-6036
- Fax
- (440) 953-6126
- NPI assigned
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 05651 | OH | Primary |
Addresses
Primary practice location
36060 Euclid Ave Ste 105
Willoughby, OH 44094-4661
Mailing address
36060 Euclid Ave Ste 105
Willoughby, OH 44094-4661
Phone (440) 953-6036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05651 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1457208647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36060 EUCLID AVE STE 105",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944661",
"telephone_number": "440-953-6036",
"fax_number": "440-953-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36060 EUCLID AVE STE 105",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944661",
"telephone_number": "440-953-6036",
"fax_number": "440-953-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "JOHN",
"middle_name": "G",
"credential": "PTA, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "05651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.